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Marissa Boire
Student in an Organized Health Care Education/Training Program in Waterford, California
NPI 1629784772

Marissa Boire is a Student in an Organized Health Care Education/Training Program based in Waterford, CA. Marissa Boire practices in Waterford, CA. The NPI Number for Marissa Boire is 1629784772 and holds a License No. (California).

The current practice location address for Marissa Boire is 108 Dockside Dr, Waterford, CA and can be reached out via phone at 209-728-4508.

Location: 108 Dockside Dr, Waterford, CA, 95386-8840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629784772
Provider Name
Marissa Boire
Credential
Provider Entity Type
Individual
Gender
Female
Address
108 Dockside Dr, Waterford, CA, 95386-8840
Phone Number
209-728-4508
Fax Number
Provider Enumeration Date
01/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
108 Dockside Dr
City
Waterford
State
California
Zip
95386-8840
Phone Number
209-728-4508
Fax Number
person
Provider Business Mailing Address Details
Address
108 Dockside Dr
City
Waterford
State
California
Zip
95386-8840
Phone Number
209-728-4508
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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